Page 49

ENERGY ASSISTANCE PROGRAMS

Section Two: Income Intake, Operations & Policy Manual Program Year 2026 49 Income types Definition Considered Income? Proof of Income Yes No Workers Compensation Compensation for time lost due to a work-related illness or injury X

Check stubs, statement from Workers Compensation, bank statement (as a last resort) Work Study (See Student Aid) The Work-Study program helps to provide graduates and undergraduates with part-time employment during the school year by paying a portion of the student’s salary X

Pay stubs

Proof of Income Count income for all household residents. The following items are acceptable as proof (verification) of income. If other items are submitted, please check with your supervisor for approval. All income that comes to the head of household or adult household member, in the name of a minor household member, must be counted as income. • Adoption Assistance – Official state and/or court documents. • Alimony – Court order stating amount of support paid or received, written statement from person paying support, or if client is receiving support as part of an informal agreement and obtaining documentation creates a hardship on the client, a Declaration of Household Income (DHI) Form must be completed and signed. • Annuities – Statement from the investment firm listing amount and frequency or bank statement (as a last resort). • Cash Gifts: Regular – Written statement from person providing support, (DHI) form, and/or other local agency form (s). Gifts given for three consecutive months or more will be counted as income.

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Page 49

Official source

ENERGY ASSISTANCE PROGRAMS

Section Two: Income Intake, Operations & Policy Manual Program Year 2026 49 Income types Definition Considered Income? Proof of Income Yes No Workers Compensation Compensation for time lost due to a work-related illness or injury X

Check stubs, statement from Workers Compensation, bank statement (as a last resort) Work Study (See Student Aid) The Work-Study program helps to provide graduates and undergraduates with part-time employment during the school year by paying a portion of the student’s salary X

Pay stubs

Proof of Income Count income for all household residents. The following items are acceptable as proof (verification) of income. If other items are submitted, please check with your supervisor for approval. All income that comes to the head of household or adult household member, in the name of a minor household member, must be counted as income. • Adoption Assistance – Official state and/or court documents. • Alimony – Court order stating amount of support paid or received, written statement from person paying support, or if client is receiving support as part of an informal agreement and obtaining documentation creates a hardship on the client, a Declaration of Household Income (DHI) Form must be completed and signed. • Annuities – Statement from the investment firm listing amount and frequency or bank statement (as a last resort). • Cash Gifts: Regular – Written statement from person providing support, (DHI) form, and/or other local agency form (s). Gifts given for three consecutive months or more will be counted as income.